Evolve.
Adapt.
Overcome.
CEFI is now ready.
MODERATE
COMMUNITY- ACQUIRED
BRONCHOPNEUMONIA
PEDIA WARD (GROUP 2)
BSN II-E
College of Nursing | CEFI
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
MODERATE COMMUNITY-ACQUIRED
BRONCHOPNEUMONIA
Case Study
Calayan Educational Foundation Inc.
Lucena, City
Pedia Ward
Presented to:
Mrs. Rosita Gloria
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
Presented by:
Dayondayon, Keshia Jamae O.
Gonzales, Arabella
Hermoso, Sahra Mae A.
Lavilla, Kiana Denise A.
Malabanan, Angel Kim G.
Ortiz, Mitch Cyrille V.
Panaglima, Aliyah Mae C.
Sarte, Kris Ann
Turqueza, Trixie Jane F.
Tanedo, Nicole
BSN II-E (Group 2)
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
DEDICATION
With deep reverence, we bestow this case presentation to the esteemed faculty of the College of Nursing,
who have generously illuminated our path towards acquiring the knowledge and skills indispensable for our
imminent journey in the healthcare realm. Our heartfelt gratitude extends to our clinical mentor, the remarkable
Mrs. Rosita Gloria, for her boundless patience and unwavering guidance.
This dedication is also a tribute to our cherished families, friends, and the hallowed halls of our Alma
Mater, Calayan Educational Foundation, Inc., which has been the nurturing soil for our growth.
In addition, we offer this presentation as a token of gratitude to the resilient patients who entrusted us with
their cases, providing the indispensable information that shapes our evolving journey in the healthcare
profession. Furthermore, our heartfelt dedication extends to our fellow student nurses, whose shared
experiences have not only expanded our knowledge but have also forged unbreakable bonds of collaboration.
Finally, in the utmost humility, we dedicate this study to the Divine Creator, whose unwavering support
has kindled the flames of hope during our most challenging moments, guiding us onward on this profound
expedition.
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
ACKNOWLEDGEMENT
The completion of this study would not have been possible without the invaluable support and
guidance provided by those who actively participated and generously extended their assistance during its
execution.
First and foremost, our heartfelt appreciation is directed towards Quezon Medical Center for
graciously offering us a conducive and enriching environment to carry out our clinical responsibilities.
We must also extend our gratitude to the head nurses and the dedicated staff of the institution. Their
unwavering support and mentorship in the clinical domain have been pivotal in shaping our educational
journey. Their willingness to entrust us with patient care has been a cornerstone of our growth and
development.
Lastly, we wish to express our thanks to Dr. Wilma Rivadenera, the dean of Allied Health Medicine,
for her steadfast support and her commitment to accommodating all student nurses throughout our clinical
duties.
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
INTRODUCTION
Bronchopneumonia, also referred to as bronchial pneumonia, is a distinct type of
pneumonia, which is a lung infection. Unlike some other types of pneumonia that
primarily affect one part of the lung, bronchopneumonia tends to involve several
scattered regions throughout the lung tissue. In this condition, the inflammation and
infection spread from the larger airways known as bronchi to the smaller air sacs
called alveoli.
These alveoli are crucial for the exchange of oxygen and carbon dioxide in your
lungs. When they become affected by inflammation and infection, it can lead to a
patchy pattern of lung involvement. This patchy distribution can make it more
challenging for the affected person to breathe and can result in symptoms like
coughing, chest discomfort, fever, and difficulties with breathing.
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
Causes
Bronchopneumonia can be caused by a variety of microorganisms,
including:
Bacteria: Common bacterial pathogens like Streptococcus pneumoniae,
Staphylococcus aureus, Haemophilus influenzae, and others can lead to
bronchopneumonia.
Viruses: Influenza, respiratory syncytial virus (RSV), and adenovirus are
among the viruses that can cause this type of pneumonia.
Other pathogens: Fungi, such as Candida or Aspergillus, and certain
atypical bacteria, like Mycoplasma pneumoniae or Chlamydophila
pneumoniae, may also be responsible.
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
Symptoms
Common symptoms of bronchopneumonia include:
• Cough: Often productive, with yellow or greenish mucus.
• Fever: Elevated body temperature.
• Chest Pain: Chest discomfort or pain, particularly with coughing.
• Low-blood pressure: It can lead to symptoms like dizziness, fainting, confusion,
rapid heart rate, and sometimes shock.
• Shortness of Breath: Difficulty in breathing, especially during physical activity.
• Fatigue: Feeling tired and weak.
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
Risk Factors:
Several risk factors increase the likelihood of developing bronchopneumonia:
• Age: Very young children and the elderly are more vulnerable.
• Weakened Immune System: Conditions like HIV/AIDS, cancer, or use of
immunosuppressive drugs can increase the risk.
• Chronic Lung Conditions: People with conditions such as chronic obstructive pulmonary
disease (COPD) or bronchiectasis are at higher risk.
• Aspiration: Inhalation of stomach contents or foreign objects into the lungs, which can
occur in cases of impaired swallowing.
• Smoking: Smoking damages the respiratory system and can increase the risk of respiratory
infections, including bronchopneumonia.
• Hospitalization: Patients in healthcare settings, especially those on ventilators or with
indwelling catheters, are at risk of healthcare-associated bronchopneumonia.
• Malnutrition: A poorly nourished body may have a weaker immune response.
PATIENT’S DATA
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
PATIENTS DATA
NAME: PATIENT X
AGE: 9 YEARS OLD
SEX: FEMALE
CIVIL STATUS: CHILD
OCCUPATION: None
RELIGION: ROMAN CATHOLIC
NATIONALITY: FILIPINO
ADDRESS: COTTA, LUCENA CITY
WEIGHT: 18.50KG
COLLGE
OF NURSING
COLLEGE
OF NURSING
Calayan Educational
Foundation,
Inc. Inc.
Calayan
Educational
Foundation,
HEALTH HISTORY
Attending Physician: Dr T,K,L,U
Admission Date/Time:OCTOBER 19, 2023 9:25pm
Admitting Diagnosis: PNEUMONIA MODERATE
Operation: None
Vital signs: (10-19-23 7:08)
Temp: 39.5
PR: 64
BP: 90/60
O2sat: 94
Chef Complain: Accompanied by relative chief complain
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
HEALTH HISTORY
Chef Complain: Accompanied by relative chief complain
• of cough and fever of 5 days, Temp: 39.5℃
• (+) vomiting
Final diagnosis: Pneumonia moderate
LABORATORY &
DIAGNOSTIC RESULT
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
ANATOMY AND
PHYSIOLOGY
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
RESPIRATORY SYSTEM
• The respiratory system is a complex set of organs and
tissues that work together to facilitate the exchange of
gases between the body and the external environment.
• It plays a crucial role in the process of respiration, which
involves the intake of oxygen and the elimination of
carbon dioxide.
• It can be divided into two: UPPER TRACT AND LOWER
TRACT
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
• Upper Respiratory Tract:
• Filtration, humidification, and warming of
inspired air.
• Initial defense against pathogens and
particles in the air.
• Lower Respiratory Tract:
• Facilitates gas exchange between the air
and the bloodstream.
• Oxygenates the blood and removes carbon
dioxide.
• Includes structures responsible for the
mechanics of breathing (trachea, bronchi,
bronchioles).
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
UPPER RESPIRATORY TRACT
1. Nose and Nasal Cavity:
1. The nose and nasal cavity are the primary entry points for air into the
respiratory system.
2. They filter, humidify, and warm the incoming air.
2. Pharynx:
1. The pharynx, or throat, is a common passageway for both air and food.
2. It is divided into three sections: nasopharynx, oropharynx, and
laryngopharynx.
3. Larynx:
1. The larynx, or voice box, is located below the pharynx.
2. It contains the vocal cords and is crucial for speech production.
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
LOWER RESPIRATORY TRACT
1. Trachea:
1. The trachea, or windpipe, connects the larynx to the bronchi.
2. It is reinforced with C-shaped cartilage rings to maintain its structure.
2. Bronchi:
1. The trachea divides into two bronchi (singular: bronchus), one leading
to each lung.
2. These bronchi further divide into smaller bronchioles.
3. Lungs:
1. The main organs of respiration, located in the thoracic cavity.
2. The right lung has three lobes, and the left lung has two lobes.
4. Bronchioles:
1. Smaller air passages that branch off from the bronchi and lead to the
alveoli.
5. Alveoli:
1. Tiny air sacs at the end of bronchioles where gas exchange occurs.
2. Oxygen from the air enters the bloodstream, and carbon dioxide exits
into the alveoli for exhalation.
PATHOPHYSIOLOGY
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
COURSE IN
THE WARD
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
DOCTOR’S ORDER
OCTOBER 19, 2023
NURSING INTERVENTION
RATIONALE
Admit to Pedia ward
Admitted patient as ordered
For further monitoring, management, and
evaluation of patient’s condition
IVF: D5 0.3 NaCl 1L x 59cc/hr
Regulated at 59cc/hr and put on IV
tag
For replacement or maintenance of fluid and
electrolytes
Diet: DAT
Diet instructed properly
To maintain patients nutritional status
Labs: CBC, UA, NaK, RBS, CXR
Laboratory and diagnosis test done
with collaboration to healthcare
team
Administered medication as ordered
To aid in the diagnosis of diseasesWill also help in
planning a treatment
VS q4
Monitored VS q4 and recorded
To monitor deviation from normal values
I&O qshift
Carried out order
To monitor intake and output of patient
02 nasal cannula 2-3L/min
Give oxygen therapy as ordered
To increased metabolic demand, maintenance of
oxygenation
Refer to ROD
Referred and endorsed accordingly
For further assessment or treatment
Meds:Paracetamol 190 mg IV now q4, PRN for
feverCefuroxime 616mg IV q8 ANST (after negative
skin test)Salbutamol neb now, q8
To help manage the condition
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
OCTOBER 20, 2023
DOCTOR’S ORDER
NURSING INTERVENTION
RATIONALE
IVF: D5LR 74 cc/hr x 8
Regulated at 74cc/hr to run for 8hrs
For hydration and maintenance of fluid and electrolytes
Repeat CBC with platelet
Laboratory and diagnosis test done with
collaboration to healthcare team
To aid in the diagnosis of diseasesWill also help in
planning a treatment
Meds:CefuroximeSalbutamol neb
q6Azithromycin 74mg IV now q6
O2inhalation 2-3L
Administered medication as ordered
To help manage the condition
Give oxygen therapy as ordered
Refer
Referred and endorsed accordingly
To increased metabolic demand, maintenance of
oxygenation
For further assessment or treatment
OCTOBER 21, 2023
DOCTOR’S ORDER
NURSING INTERVENTION
RATIONALE
IVF: D5LR 60 gtt (microdrop)
Regulated at 60gtt and put on IV tag
NAC (fluimucil) 200 mg in 1/4 glass of
water OD PO
Administered medication as ordered
For hydration and maintenance of fluid and
electrolytes
To help manage the condition
Refer
Referred and endorsed accordingly
For further assessment or treatment
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
OCTOBER 22, 2023
DOCTOR’S ORDER
NURSING INTERVENTION
RATIONALE
DAT with SAP (strict aspiration precaution)
Diet instructed properly
To maintain patients nutritional status
D/c O2 support
Carried out order
Follow up CXR result
Hydrocortisone to complete 3days then d/c
Laboratory and diagnosis test done with
collaboration to healthcare team
Administered medication as ordered
Discontinued in stable patients with satisfactory
oxygen saturation levels
To aid in the diagnosis of diseases
Continue other medication
Administered medication as ordered
To help manage the condition
Refer
Referred and endorsed accordingly
For further assessment or treatment
Hydrocortisone works by calming down your
body's immune response to reduce pain, itching
and swelling (inflammation)
OCTOBER 22, 2023
DOCTOR’S ORDER
NURSING INTERVENTION
RATIONALE
May go home
Take home meds:Cefuroxime 250g, 6ml q12 for
5 daysZinc sulfate syrup, 5ml OD x 2
daysSalbutamol neb q8 PRN
Instructed properly
Taking of medication instructed properly
To help manage the condition
Follow up after 1 week
Follow up check up fever
Patient instructed properly
Patient instructed properly
To check the progress of patient
For further assessment or treatment
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
OCTOBER 23, 2023
DOCTOR’S ORDER
NURSING INTERVENTION
RATIONALE
Still here
OCTOBER 24, 2023
DOCTOR’S ORDER
MGH
NURSING INTERVENTION
Instructed properly
RATIONALE
OCTOBER 25, 2023
DOCTOR’S ORDER
Refer MGH
For CBC, CXR, UA, blood CS
NURSING INTERVENTION
Refer accordingly
Laboratory and diagnosis test done
with collaboration to healthcare team
Shift cefuroxime to ceftazidime 925mg Administered medication as ordered
q8hr
Refer
Referred and endorsed accordingly
RATIONALE
To aid in the diagnosis of diseases
To help manage the condition
For further assessment or treatment
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
OCTOBER 26, 2023
DOCTOR’S ORDER
NURSING INTERVENTION
RATIONALE
DAT with SAP
Diet instructed properly
To maintain patients nutritional status
D/c O2 support
Carried out order
Discontinued in stable patients with
satisfactory oxygen saturation levels
Follow up repeat lab results
Laboratory and diagnosis test done with
collaboration to healthcare team
To aid in the diagnosis of diseases
D/c hydrocotisone x salbutamol neb
Discontinue medication as ordered
Continue ceftazidime
Administered medication as ordered
Help avoid unpleasant side effects
(withdrawal symptoms), such as severe
tiredness, joint pain, being sick and
dizziness.
To help manage the condition
Refer
Referred and endorsed accordingly
For further assessment or treatment
OCTOBER 27, 2023
DOCTOR’S ORDER
MGH
NURSING INTERVENTION
Instructed properly
RATIONALE
NURSING CARE PLAN
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
ASSESSMENT
DIAGNOSIS
PLANNING
INTERVENTION
Subjective Data:
“Pabalik-balik po ang
lagnat ng anak ko” as
verbalized by the mother.
Hyperthermia related to
inflammatory response
secondary to
bronchopneumonia as
evidenced by the
After 8 hours of intervention,
the child’s temperature will
Nursing Intervention
INDEPENDENT
•
Provide a tepid sponge bath.
Objective Data:
Temp: 39.9
RR: 23
O2Sat: 80
(+) febrile
(+) warm skin
temperature of 39.9°C
decrease from 39.9°C to
normal range.
•
•
•
Assess fluid loss and
facilitate oral intake.
Promote bed rest.
Provide cool circulating air
using a fan.
•
Assist patient in changing
into dry clothing,
DEPENDENT
•
Maintain IV fluids as
ordered by physician.
•
Administer anti-pyretic as
ordered.
•
Administer antibiotic as
ordered.
COLLABORATIVE
•
Monitor hematologic test
and other pertinent lab
records.
•
Discuss the condition of the
patient with other members
of the health care team.
RATIONALE
• Enhances heat loss by
evaporation and conduction,
•
Increases metabolic rate and
diaphoresis.
•
Reduces body heat
production.
•
Dissipates heat by
convection.
•
Increase comfort.
•
Prevents dehydration.
•
Reduces fever.
•
Treats underlying cause.
•
Indicates the presence of
infection and dehydration.
•
Ensure continuous
intervention.
EVALUATION
GOAL MET
After 8 hours of nursing
intervention, the child’s
temperature
decreased from 39.9°C to
normal range
Evolve.
Adapt.
Overcome.
CEFI is now ready.
DRUG STUDY
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
Generic Name: PARACETAMOL
Brand Name: Various brand names depending on the manufacturer.
Classification: ANALGESICS AND ANTIPYRETICS
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
Therapeutic
Action
 Analgesics  Is a common
painkiller for
childrens.
Contraindicatio
n
 Contraindicat
ed in known
hypersensitivi
ty to
 Used to treat
paracetamol,
headaches,
in hepatic
stomach
and renal
ache,
failure.
earache and
cold
symptoms
 Also used to
bring down a
high
temperature
(Fever).
Toxicity




Nausea
Vomiting
Constipation
Dizzy
Intervention
Safe dose
 Check that the patient
is not taking any other
medication containing
paracetamol.
 IV
paraceta
mol dose
should
never
 Monitor renal function.
exceed
75mg(7.5
 Monitor the patient for
ml) in
hypersensitivity and
patients
allergic reactions
weighing
during infusion and for
10kg
at least 30 minutes
afterward.
 190mg
(IV)
 Q4
 Prn
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
Generic Name: SALBUTAMOL NEBULIZER
Brand Name: Ventolin Nebules
Classification: Short-acting beta-2 adrenergic agonist.
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
Therapeutic
Action
Contraindication
 Short-acting
beta-2
adrenergic
agonist.
 To relaxes the
muscles in the
walls of the
small air
passages in
the lungs.
 Patients with
a history of
hypersensitivi
ty to any of
its
components.
 Helps to open
up the
airways.
Toxicity





Severe cramps or muscles
Weakness
Dizziness
Headache
Nervous tension
Intervention
 Assess respiratory
status of patient.
 Auscultate patient’s
breath sounds.
 Monitor patient’s
oxygen saturation.
 Review patient’s
medical history.
 Assess patient’s
allergies.
Safe dose
 at the age
of 4-11
years old
2.5mg to
5mg up
to four
times a
day.
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
Generic Name: AZITHROMYCIN
Brand Name: Zithromax
Classification: MACROLIDE ANTIBIOTICS.
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
Therapeutic
 MACROLI
DE
ANTIBIOTI
CS
Action
 Used for
treatment of
respuratory
and skin
infections.
 Inhibits the
ribosomal
synthesis of
the bacteria.
Contraindication
 Contraindicat
ed in
patients with
known
hypersensitivi
ty to
azithromycin,
or any
macrolide
and in
hepatic
disease.
 Ever had an
allergic
reaction to
azithromycin
or any other
medicine.
Toxicity






Nausea
Cough
Headache
Dizziness
Chest pain
Rash
Intervention
 Check that the patient
is not taking any other
medication containing
paracetamol.
Safe dose
 500mg
PO x 1
dose on
day 1
 Monitor renal function.  250mg
PO x
 Monitor the patient for
qDay on
hypersensitivity and
day 2-5
allergic reactions
during infusion and for
at least 30 minutes
afterward.
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
Generic Name: CEFUROXIME SODIUM
Brand Name: Various brand names depending on the manufacturer.
Classification: Antibiotic,Second-generation cephalosporin
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
Therapeutic
Action
Contraindication
Toxicity
 A second-  That exerts its  Hypersensitiv  GI: Diarrhea,Abdominal
generatio
bactericidal
ity to
cramps,hepatic failure,
ncephalos
effect by
cephalosNausea
-por in
inhibiting
porins or
antibiotics
bacterial cell
their
 SKIN: Erythema,Rash,
wall synthesis
component
ecchymosis
 CNS: Chills, fever,
headache,seizures
 Other: Anaphylaxis;
injection edema and
redness
Intervention
 Assess the patient’s
medical history for any
prior allergies or
reactions to
cephalosporins or
penicillins.
 Monitor for signs of
allergic reactions
during administration.
 Educate the patient
about the importance
of completing the full
course of antibiotics,
even if symptoms
improve before
completion.
Safe dose
 750mg
IV
 Q6 /Q8
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
Therapeutic
Action
 Mucolytics  Used as a
mucolytic in
patients with
certain lung
conditions.
Contraindication
 Contraindicated in
patients
hypersensitive to drug
Toxicity
 GI:Nausea,stomatitis,vomit  Monitor cough type
ing
 SKIN: Rash, clammines
 CNS: Fever,drowsiness
 Reduces the
viscosity of
pulmonary
secretions
 Also restores
liver stores of
glutathione to
treat
acetaminophen toxicity.
 Serious
anaphylactoi
d reactions,
including
rash,hypoten
sion,dyspnea
and
wheezing,
have been
reported.
Intervention
 CV: Chest tightness,
tachycardia, edema
 Other: Anaphylactoid
reaction, chills,
hypersensitivity reaction
and frequency
 Monitor patient for
bronchospasm,
especially if patients
has asthma
 Drug is used for
acetaminophen
overdose within 24
hours of ingestion
Safe dose
 200mg
PO: Powder
 TID
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
Therapeutic
 Zinccontaining
preparation
Action
Contraindication
Helps
 Contraindicat
maintain
ed for zinc is
normal
may include
growth rates,
allergies to
normal skin
zinc or any
hydration and
inactive
senses of
ingredients
taste and
as well as
smell.
certain
medical
 Zinc is a
conditions.
various
enzymes
 Consider the
which helps
patient
the body’s
health history
natural
and provide
defence
personalized
against
guidance.
damaging

Toxicity




Nausea
Vomiting
Diarrhea
Stomach cramps
Intervention
 Monitor for adverse
effects like
gastrointestinal
Safe dose
 25 mg
Syrup
 TID
 Educate for any signs
of allergic reactions in
the child.
DISCHARGE PLANNING
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
MEDICATION
•
•
Ensure that the child's guardian follow the prescribed home medications as prescribed by the doctor.
Offer clear instructions on medication dosage, timing, and duration.
Discuss potential side effects and when to contact a healthcare provider.
 Cefuroxime 250mg/5ml; 6ml every 12 hours for 4 more days
 Zinc Sulfate syrup; 5ml once a day for 2 weeks
EXERCISE/ENVIRONMENT
•
•
•
•
Advise the guardian to provide the child a well-ventilated and smoke-free environment at home.
Discuss the significance of avoiding contact with people who have respiratory illnesses.
Provide an environment that encourages optimal rest and sleep.
Recommend mild and non-strenuous activities to help with recovery.
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
TREATMENT
•
Explain continuing home medications as prescribed by the health care provider.
 Salbutamol nebule; 1 nebule when needed (every 8 hours)
HEALTH EDUCATION
•
•
•
•
Emphasize the importance of finishing the entire course of antibiotics, even if the child begins to feel
better.
Monitor the child’s vital signs such as temperature, respiratory rate, and oxygen saturation if necessary.
Seek medical attention if symptoms worsen or if any new symptoms appear.
Ensure that the child remains well-hydrated and well-rested to aid in recovery.
Emphasize the importance of maintaining good hand hygiene and cough etiquette to prevent the
spread of infection.
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
OUT PATIENT
•
The child should return to the hospital after one week for a follow-up check-up, as advised by the
healthcare provider. This visit is necessary to assess the progress of the condition and make any
necessary changes to the treatment plan.
DIET
•
•
•
Encourage a well-balanced diet that includes a variety of nutrient-rich foods such as fruits, vegetables,
and whole grains for optimal recovery.
Ensure that the child is well-hydrated with water. Broths and clear soups can also be consumed to
maintain hydration.
Whenever possible, minimize the consumption of spicy or acidic foods, as they can irritate the throat
and potentially worsen mucus production.
PROGNOSIS
COLLEGE OF NURSING
Calayan Educational Foundation, Inc.
PROGNOSIS
Bronchopneumonia is an infection of the lung that is caused by pathogenic microorganisms that
primarily affects the bronchi and bronchioles. It causes these airways to become inflamed and filled with
mucus, making it difficult to breathe. This can lead to symptoms like cough, chest pain, fever, and fatigue.
Current medication as of October 26 is: Ceftazidime 925mg
Initial vital signs: Temperature: 39.4°C, Pulse Rate: 64 bpm, O2 sat: 94%.
The patient was admitted last October 19, 2023 with a chief complaint of fever for 5 days, with an
admitting diagnosis of PCAP-C and a final diagnosis of Pneumonia Moderate. Subsequently, the patient
undergone multiple laboratory tests and treatments. Despite this, the patient’s condition deteriorated,
necessitating an extended hospitalization. Therefore, it shows bad prognosis.
THANK YOU 
BSN2-E GROUP 2